17 results
Colonoscopy Followup Intervals 
10 years: Normal colonoscopy, ≥ 20 HP < 10mm
7-10 years: 1-2 adenomas <
Colonoscopy Followup ... years: Normal colonoscopy ... , Adenoma with villous ... serrated polyps #Colonoscopy
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea ... intolerance suspected, Colonoscopy ... EGD +/- ERCP +/- colonoscopy ... Inflammatory: • Colonoscopy ... / #Chronic #Diarrhea
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Evaluation of Chronic Diarrhea ... Causes of acute diarrhea ... occult blood - Colonoscopy ... syndrome, Factitious diarrhea ... ) #Chronic #Diarrhea
Bullous Myringitis on Otoscopic Examination

Normal tympanic membrane...ABNORMAL tympanic membrane! 
Treatment? Treat like any other otitis media
Bullous Myringitis ... @DrSarahEM #Bullous ... Clinical #Photo #OtitisMedia
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
Assessment (bloody diarrhea ... UC > non-bloody diarrhea ... ) • FCP, CRP, Colonoscopy
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... testing negative and diarrhea ... Colonoscopy +/- ... malabsorption #Diarrhea
Chronic Diarrhea - Differential Diagnosis Algorithm
Steatorrhea
 - Maldigestive
    • Pancreatic Insufficiency
 - Primary
Chronic Diarrhea ... Secretory • Villous ... Lymphoma #Chronic #Diarrhea
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Loss of HCO3 - Diarrhea ... laxative abuse - Villous
A “villous dance show” in the terminal ileum.  Visualization of villi in the terminal ileum
A “villous dance ... High-Definition colonoscopy ... #ileum #villi #colonoscopy
A “villous dance show” in the terminal ileum.  Visualization of villi in the terminal ileum
A “villous dance ... High-Definition colonoscopy ... #ileum #villi #colonoscopy